Provider Demographics
NPI:1831380088
Name:PAI, POULOMI JEEVAN (MD)
Entity type:Individual
Prefix:DR
First Name:POULOMI
Middle Name:JEEVAN
Last Name:PAI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:9555 BROOKCHASE DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-7349
Mailing Address - Country:US
Mailing Address - Phone:919-806-2758
Mailing Address - Fax:
Practice Address - Street 1:DUKE MEDICAL CENTER
Practice Address - Street 2:BOX NUMBER 2916, BELL BUILDING
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-684-8111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology